Frier Levitt has been on the front-line when it comes to defending and scrutinizing audits conducted by Pharmacy Benefit Managers (“PBMs”) of independent pharmacies. Throughout our challenges against PBMs, we have uncovered and reported... Read More
Blogs & Articles | Community, Retail Pharmacies | Defending Pharmacies in PBM Audits | Life Sciences

Frier Levitt has identified an alarming trend in government investigations of pharmacies whereby Office of Inspector General (“OIG”) and Drug Enforcement Administration (“DEA”) issue subpoenas simultaneously or almost at the same time. ... Read More
Blogs & Articles | Community, Retail Pharmacies | Life Sciences | Regulatory Compliance, including FDA, DEA and HIPAA

In a recent but aggressive trend, Elixir (formerly known as Envision Rx) has begun to issue payment and claim submission notices of suspension to pharmacies generally alleging that the pharmacies have engaged in or are engaging in activity or... Read More
Blogs & Articles | Community, Retail Pharmacies | Defending Pharmacies in PBM Audits | Life Sciences

A drug pricing program authorized under a 1992 amendment to the Public Health Service Act (Pub. L. 102-585 (1992); 42 U.S.C. § 256b), named 340B, requires drug manufacturers, in exchange for having its drugs covered by Medicaid, to sell outpatient... Read More
Blogs & Articles | Community, Retail Pharmacies | Life Sciences | Section 340B In-House and Contract Pharmacies

Express Scripts, Inc. (“ESI”), following a period of stay in its April 7, 2020 recoupment action, has resumed its efforts to recover funds from certain pharmacies who submitted claims to TRICARE in 2015, this time, with no indication of slowing... Read More
Blogs & Articles | Community, Retail Pharmacies | Life Sciences | Traditional Compounding Pharmacies (503A)

If your pharmacy has been vandalized or looted in the recent riots that have affected many cities and towns across the country, depending on the issue, there may be a number of notifications that the pharmacy is required to make as it relates to the... Read More
Blogs & Articles | Chain Pharmacies | Community, Retail Pharmacies | Industry | Life Sciences | Pharmacy Law | Specialty Pharmacies

PBM audits often follow certain trends which vary and evolve. One potentially emerging trend Frier Levitt has observed is that pharmacies who are undergoing audits with certain PBMs, namely OptumRx, are being asked to provide an actual copy of the... Read More
Community, Retail Pharmacies | Defending Pharmacies in PBM Audits | Life Sciences | Pharmacy Law | Specialty Pharmacies

On May 19, 2020, the Department of Health and Human Services (HHS) issued guidance clarifying whether the Public Readiness and Emergency Preparedness (PREP) Act preempts State licensing laws that restrict pharmacists and pharmacies from ordering and... Read More
Blogs & Articles | Community, Retail Pharmacies | COVID-19 Resources | Life Sciences | Pharmacy Law | Specialty Pharmacies

On May 27, 2020, Blue Cross Blue Shield plans in Alabama, Florida, Minnesota, North Dakota, North Carolina and Kansas filed suit against CVS Pharmacy alleging an insurance fraud scheme involving overcharging for generic drugs for over a decade. ... Read More
Administrative and Insurance Defense Law | Blogs & Articles | Community, Retail Pharmacies | Healthcare Litigation | Life Sciences | Pharmacy Law | Specialty Pharmacies